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[应用AgNOR法对头颈部肿瘤进行体外化学敏感性测定的实验与临床研究]

[Experimental and clinical study on the chemosensitivity assay in vitro for head and neck tumor by AgNOR methods].

作者信息

Hu Guohua, Zhu Jiang, Sun Yucai, Wei Lianzhi

机构信息

Department of Otolaryngology, First Affilated Hospital, Chongqing Medical University, Chongqing 400016.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 Feb;17(2):94-6.

Abstract

OBJECTIVE

To evaluate in vitro chemosensitivity of head and neck tumor to eight kinds of antineoplastic drugs by AgNOR technique.

METHOD

Fifty-nine cases' fresh specimens were obtained from head and neck tumors. We severed tumor tissue with simple mechanical separation method. After the acting of drugs, cell smear and argyophilie staining, mean Inhibiting rate was calculated. 12 cases were treated with chemotherapy at the same time.

RESULT

54 cases' specimens succeeded in the experiments, the rate of success was 91.5%. The changes of mean Inhibiting rate were from 0 to 63.0%. The chemosensitivity to DDP was the highest in eight kinds of antineoplastic drugs. VCR, 5-Fu, PYM were higher sensitive drugs respectively. The sensitivity to drugs in NPC was significantly higher than laryngeal cancer. The coincidence between the experiment and clinic was 75.0%.

CONCLUSION

AgNOR method is simple and convenient. In addition, it has clear correlation with the results of therapy. The method is useful for chemotherapy.

摘要

目的

采用核仁组成区嗜银蛋白(AgNOR)技术评估头颈部肿瘤对8种抗肿瘤药物的体外化疗敏感性。

方法

获取59例头颈部肿瘤新鲜标本。采用简单机械分离法切取肿瘤组织。经药物作用后,进行细胞涂片及嗜银染色,计算平均抑制率。同时对12例患者进行化疗。

结果

54例标本实验成功,成功率为91.5%。平均抑制率变化范围为0至63.0%。8种抗肿瘤药物中对顺铂(DDP)的化疗敏感性最高。长春新碱(VCR)、氟尿嘧啶(5-Fu)、平阳霉素(PYM)分别为高敏药物。鼻咽癌对药物的敏感性显著高于喉癌。实验与临床的符合率为75.0%。

结论

AgNOR法简便易行。此外,其与治疗结果有明确相关性。该方法对化疗有指导作用。

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